York Polar Bears Player Registration

 

Player Name *
Player Name
Date of Birth *
Date of Birth
Address *
Address
Parent/Guardian Contacts
Parent/Guardian 1 Name *
Parent/Guardian 1 Name
Parent/Guardian 1 Phone # *
Parent/Guardian 1 Phone #
Parent/Guardian 1 Mobile #
Parent/Guardian 1 Mobile #
Parent/Guardian 2 Name
Parent/Guardian 2 Name
Parent/Guardian 2 Phone #
Parent/Guardian 2 Phone #
Parent/Guardian 2 Mobile #
Parent/Guardian 2 Mobile #
PARENTAL /GUARDIAN CONSENT FORM
Photo/Image/Video Promotion Permission Release *
I/WE GRANT permission to use photo/image or video to be published on the website or promotional material.
Photo/Image/Video of Child, Permission Release *